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BROADWAY MEDICAL CARE SC
NPI 1710512165
Internal Medicine in Addison, IL

Active since March 05, 2020
414 W LAKE ST, ADDISON, IL 60101(708) 345-8960 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broadway Medical Care Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY MEDICAL CARE SC (NPI 1710512165) is a healthcare organization registered as an internal medicine in Addison, Illinois and active in the NPI registry since March 2020. The organization lists Peyman Pahlavan, Owner, as its authorized official.

NPPES Registry Identity

NPI1710512165
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROADWAY MEDICAL CARE SC
Location Address414 W LAKE STAddison, IL 60101-2305
Mailing Address414 W Lake StAddison, IL 60101-2305 · (708) 345-8960
Phone(708) 345-8960
Organization SubpartNo
Authorized OfficialPeyman PahlavanOwner · (708) 345-8960
Enumeration DateMarch 5, 2020
NPPES CertifiedMarch 5, 2020
✔ NPI 1710512165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
414 W LAKE ST, Addison, IL 60101
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAR JAYESH SHAH PHARMD
Pharmacist
414 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 543-0988
DAISY SOTO
Pharmacist
414 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 543-0988
SHUMAILA KAMRAN RPH
Pharmacist
414 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 543-0988
ADDISON PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
414 W LAKE ST
ADDISON, IL 60101
Dupage County (630) 543-0988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Medical Care Sc's NPI number?

The NPI number for Broadway Medical Care Sc is 1710512165. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Broadway Medical Care Sc located?

Broadway Medical Care Sc is located at 414 W Lake St, Addison, IL 60101. The listed phone number is (708) 345-8960.

What is Broadway Medical Care Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Care Sc was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.